Prostate Biopsy Cost in Washington (2026): Average Prices & What You'll Pay
What does a prostate biopsy cost in Washington?
The same prostate biopsy in Washington might cost you $1,058 at one facility and $2,264 at another - the building you walk into drives the difference. The median cash price across 50 reporting hospitals is $1,575. These figures come straight from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.
Three low-priced facilities in Washington, from hospital price files
- Mid-Valley Hospital · Omak, WA $447
- Prosser Memorial Health Hospital · Prosser, WA $465
- Kadlec Regional Medical Center · Richland, WA $525
All 50 facilities are listed below, free.
Where prostate biopsy costs vary in Washington
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby outpatient clinics and other facilities (colored by type). Click any pin for facility name and estimated cost range.
26+ people checked prices near them this month.
What you pay for a prostate biopsy depends on where you go and what is billed separately. Most patients find out after.
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Cheapest Prostate Biopsy Providers in Washington
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($1,575) |
|---|---|---|---|---|
| 1 | Mid-Valley Hospital | Omak, WA | $447 | $1,128 below |
| 2 | Prosser Memorial Health Hospital | Prosser, WA | $465 | $1,110 below |
| 3 | Kadlec Regional Medical Center | Richland, WA | $525 | $1,050 below |
| 4 | Grant County Public Hospital District 1 | Moses Lake, WA | $607 | $968 below |
| 5 | KAISER PERMANENTE CENTRAL HOSPITAL | WA | $713 | $862 below |
| 6 | MultiCare Valley Hospital | Spokane Valley, WA | $1,034 | $541 below |
| 7 | MultiCare Yakima Valley Memorial Hospital Association | Yakima, WA | $1,034 | $541 below |
| 8 | MultiCare Deaconess Hospital | Spokane, WA | $1,041 | $534 below |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
Estimate your out-of-pocket cost → · When the bills arrive, we check them for errors →
Quick take
- Mid-Valley Hospital is the lowest-cost option at $447 - $1,128 below the median posted price ($1,575), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $1,600, and it's often lower than what insurance pays before your deductible is satisfied.
- Doctor offices and independent clinics may charge differently from hospitals for the same service and may not appear in this hospital-only dataset. Ask your doctor whether another site is an option.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $240 to $240 | $240 |
| With insurance (commercial, average) | 36 | $2,849 to $7,962 | $5,807 |
| Without insurance (cash price) | 50 | $438 to $5,192 | $1,600 |
| Premera Blue Cross | 34 | $3,491 to $6,341 | $4,929 |
| Aetna | 32 | $2,088 to $10,320 | $6,035 |
| Cigna | 22 | $1,812 to $7,277 | $5,920 |
| UnitedHealthcare | 6 | $1,394 to $7,729 | $7,121 |
Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.
How much does a prostate biopsy cost with Medicare in Washington?
Medicare's national fee-schedule payment for prostate biopsy is about $240 to $240 (typically near $240). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $48 on a $240 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.
Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.
How much does a prostate biopsy cost with insurance in Washington?
Across 36 Washington hospitals, the negotiated rates commercial insurers pay for prostate biopsy average $2,849 to $7,962 per hospital, with a median near $5,807. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.
Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.
How much does a prostate biopsy cost without insurance in Washington?
Cash (self-pay) prices for prostate biopsy at 50 Washington hospitals range from $438 to $5,192, with a median of $1,600. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.
Cash prices are the hospital’s published discounted rate for patients paying without insurance.
How much does a prostate biopsy cost with Premera Blue Cross in Washington?
Premera Blue Cross negotiated rates for prostate biopsy at 34 Washington hospitals range from $3,491 to $6,341, with a median near $4,929. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.
Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.
How much does a prostate biopsy cost with Aetna in Washington?
Aetna negotiated rates for prostate biopsy at 32 Washington hospitals range from $2,088 to $10,320, with a median near $6,035. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.
How much does a prostate biopsy cost with Cigna in Washington?
Cigna negotiated rates for prostate biopsy at 22 Washington hospitals range from $1,812 to $7,277, with a median near $5,920. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.
How much does a prostate biopsy cost with UnitedHealthcare in Washington?
UnitedHealthcare negotiated rates for prostate biopsy at 6 Washington hospitals range from $1,394 to $7,729, with a median near $7,121. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.
How where you go changes what you pay for prostate biopsy
The same prostate biopsy bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $311–$8,631
- Professional fee $189–$504
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $320–$3,306
- Professional fee $189–$504
Estimated from CMS fee schedules + commercial rate multipliers
Providence Health, Swedish Health Services (a Providence affiliate), and UW Medicine compete in the Western Washington market. Kaiser Permanente Washington has substantial commercial market share in the Puget Sound area. Eastern Washington operates as a distinct, lower-cost market anchored by Providence and MultiCare. Washington state has active price transparency enforcement.
Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →
Why prices vary - and what it means for your coverage
A small number of hospitals (2) report prices above $6,452, including PeaceHealth Southwest Medical Center at $8,631, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $1,575 versus $619 inpatient, so where a procedure happens often matters more than which hospital you pick.
None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$1,575 |
| Deductible met - 20% coinsurance | ~$315 |
| Out-of-network provider | $3,465+ |
Frequently asked questions: prostate biopsy costs in Washington
How much does a prostate biopsy cost in Washington?
The typical insurer-negotiated rate is $1,138, with most facilities between $478 and $2,321 (based on 47 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Washington hospitals run $438–$5,192; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a prostate biopsy in Washington?
Based on declared prices, the lowest posted price in our Washington data is Mid-Valley Hospital in Omak at about $447. By metro, Tacoma has the lowest median ($1,082).
Why is a prostate biopsy so much cheaper at some Washington hospitals?
Typical prices vary about 4.9× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Washington, the median cash (self-pay) price is $1,600 versus a median negotiated rate of $5,807 - cash is the lower number at many hospitals. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a prostate biopsy in Washington?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
- How to read a Medicare Summary Notice
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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